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Children with Sexual Behavior Issues

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Children with Sexual Behavior Issues Jane F. Gilgun, PhD, LICSW School of Social Work University of Minnesota, Twin Cities jgilgun_at_umn.edu http://ssw.che.umn.edu ... – PowerPoint PPT presentation

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Title: Children with Sexual Behavior Issues


1
Children with Sexual Behavior Issues
  • Jane F. Gilgun, PhD, LICSW
  • School of Social Work
  • University of Minnesota, Twin Cities
  • jgilgun_at_umn.edu
  • http//ssw.che.umn.edu\faculty\jgilgun.htm
  • Day 2
  • June 21, 2007

2
Topics
  • Psychoeducation and Group Treatment
  • Comprehensive Programs
  • Treatment Exercises
  • Indicators that Children are Learning to Manage
    Their Sexual Behaviors
  • Emotional Costs of Work with Families Where
    Children Have Sexual Behavior Issues
  • Self-Reflections

3
Comprehensive Programs
  • Individual treatment
  • With parental involvement
  • Peer group
  • With parental involvement
  • Family Therapy
  • Couples Therapy
  • Case Management
  • Multiple Family Groups
  • Psychoeducation throughout

4
Appropriate Reponses
  • Look for resources, competencies, and risks
  • Gentle limit setting
  • Consultation
  • Encourage parents to
  • take responsibility for whatever contributions
    they have
  • Participate in whatever treatment/programs that
    therapists recommend
  • Structure, supervision, support, openness to
    children

5
Summary of Key Points
  • Encourage children
  • to speak openly about their inappropriate
    behaviors
  • To participate in treatment
  • To follow social rules
  • To find someone to depend on and to trust

6
Summary of Key Points
  • For social workers
  • Consultation
  • Resource issues
  • Collaborate with other professionals
  • Personal relationships key
  • Sadness, frustration, hurt
  • Sense of accomplishment and meaning
  • Take care of yourself
  • Sense of humor

7
Family Therapy
  • Can do assessment of family dynamics
  • Can teach family new ways of interacting
  • Direct instruction
  • Practice
  • By their observation of you

8
Family Therapy
  • Kids cant do what parents cant do.
  • Mother
  • You told me Daddy was touching you sexually. I
    thought you were imagining it. I was wrong. Im
    so sorry.

9
Family Child Affect
  • Emotionally Expressive
  • Angry
  • Anxious
  • Hollow
  • Disorganized
  • Blaming
  • Denying

10
Some Treatment Exercisesfor Childrens
Psychoeducation
  • Reading the book Feelings by Aliki (1987) with
    the children.
  • Presenting children with cartoons where the
    children state what the story is about and
    identify what the characters might be feeling
  • Viewing a video about sexual abuse.

11
Some Treatment Exercisesfor Childrens
Psychoeducation
  • Anger pyramid.
  • Feelings charades.
  • Collages.
  • Empathy letters.
  • Apology letters.
  • Reconciliation sessions.

12
Indicators that Children are Learning to Manage
Their Sexual Behaviors
  • Children show assertiveness.
  • Previous taboo topics are on the table.
  • Children can ask questions that they were too
    ashamed to ask in the past.
  • Children tell on themselves.
  • Humor

13
Indicators that Children are Learning to Manage
Their Sexual Behaviors
  • Signs of attachment to others
  • Affect becomes more animated.
  • Language becomes more concrete, specific, clear,
    and pictorial
  • Takes responsibility for their behaviors
  • Empathy for victims.
  • Parents set limits.

14
Some Therapeutic Issues
  • Importance of Neutrality
  • What does the term mean?
  • Lot of case management
  • Need for on-going consultation

15
Some Therapeutic Issues
  • Were good at soothing and comforting
  • How much training do we have in dealing with
    clients who
  • sexualize us?
  • manipulate us?
  • trigger anger, fear, dread in us?

16
Self-Reflection
  • Memories related to sexuality
  • Early
  • Funny
  • Confusing
  • Evokes strong emotions
  • How did you learn differences between sex as a
    way of getting rocks off and communicating
    desire and intimacy
  • What are the multiple meanings of sexuality?

17
The End
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